person
Jason Clark
Mental Health Counselor in Chicago, Illinois
NPI 1033727425

Jason Clark is a Mental Health Counselor based in Wheeling, IL and is specialized in Mental Health. Jason Clark practices in Chicago, IL. The NPI Number for Jason Clark is 1033727425 and holds a License No. (Illinois).

The current practice location address for Jason Clark is 2451 N Lincoln Ave Side 2, Chicago, IL and can be reached out via phone at 773-469-6675.

Location: 2451 N Lincoln Ave Side 2, Chicago, IL, 60090-2431
person
Provider Profile Details
NPI Number
1033727425
Provider Name
Jason Clark
Credential
Provider Entity Type
Individual
Gender
Male
Address
2451 N Lincoln Ave Side 2, Chicago, IL, 60090-2431
Phone Number
773-469-6675
Fax Number
Provider Enumeration Date
07/21/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2451 N Lincoln Ave Side 2
City
State
Zip
60614-4170
Phone Number
773-469-6675
Fax Number
person
Provider Business Mailing Address Details
Address
2451 N Lincoln Ave Side 2
City
State
Zip
60614-4170
Phone Number
773-469-6675
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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